GERD: ‘silent refluxers’

Defining GERD.

"It is not the death of GERD that I seek, but that it turns from its evil ways and follows the path of righteousness." The reflux world is fully aware of what GERD is and what GERD does. What the world does not know, however, is the answer to the most important yet least asked question surrounding GERD's raison-d'etre: Why is GERD here and why do we have it? What GERD is: abnormal gastric reflu...

Gerd Jürgens

area where the ice shelf transitioned from ground support to free floating, the ice sheet grounding zone system (Science (2014) 345, 1354–1358). From their observations, the researchers concluded that the collapse was caused by the rising surface temperatures rather than by some instability of the grounding system. The authors write that their finding “adds to the scenario of instability now fa...

Mucosal impedance discriminates GERD from non-GERD conditions.

BACKGROUND & AIMS Current diagnostic tests for gastroesophageal reflux disease (GERD) are suboptimal and do not accurately and reliably measure chronicity of reflux. A minimally invasive device has been developed to assess esophageal mucosal impedance (MI) as a marker of chronic reflux. We performed a prospective longitudinal study to investigate MI patterns in patients with GERD and common non...

Surgical Therapy for Gerd

Gastroesophageal Reflux Disease (GERD)

 Diagnosis History. If classic symptoms of heartburn and acid regurgitation dominate a patient’s history, then they can help establish the diagnosis of GERD with sufficiently high specificity, although sensitivity remains low compared to 24-hour pH monitoring. The presence of atypical symptoms (Table 1), although common, cannot sufficiently support the clinical diagnosis of GERD [B*]. Testing....